Focus On What's Already Showing Results andPromise

[35YrsAfter]

Chuck,

If you are seeing donor regeneration on that level, it is a monumental breakthrough in hair restoration.

Can you provide some before and after photographs documenting this regeneration?

We are working to improve the effectiveness of ACell. The patient in our most recent study healed so well that after 3 months the extraction sites could not be located even with bright lighting and magnifying loupes. In past studies there was minimal scarring but enough that under strong lighting and magnification, we were able to locate the extraction sites to see hair growing from them. More studies are in the works.

35YrsAfter also posts as CITNews and works at Dr. Cole's office
Cole Hair Transplant
1045 Powers Place
Alpharetta, Georgia 30009
Phone 678-566-1011
Please feel free to call or email me with any questions.

[0ptimist]

Chuck,

If you are seeing donor regeneration on that level, it is a monumental breakthrough in hair restoration.

Can you provide some before and after photographs documenting this regeneration?

[35YrsAfter]

so that's saying you should have 5 prp injections per 12 months?

There is no question that PRP is effective. The question remaining is... How do we improve the results of PRP therapy? Dr. Cole uses ACell with his PRP and administers ACell / PRP mostly during FUE surgery because of the improved healing these two products provide our patients.

The benefits of ACell during FUE surgery include:
1.) Reduced hypopigmentation of the extraction sites.
2.) Increased blood vessel formation.
3.) Follicle regeneration 10% to 70% average around 50%

The benefits of PRP during FUE surgery include:
1.) Quicker healing
2.) Earlier transplanted hair growth
3.) Increase in hair shaft diameter overall.


Is PRP currently effective enough to justify the cost and inconvenience of multiple stand-alone treatments per year? IMO, I would personally consider one treatment per year. Other men and women with hair loss may be fine with two, three, perhaps four treatments per year.

35YrsAfter also posts as CITNews and works at Dr. Cole's office
Cole Hair Transplant
1045 Powers Place
Alpharetta, Georgia 30009
Phone 678-566-1011
Please feel free to call or email me with any questions.

[FearTheLoss]

so that's saying you should have 5 prp injections per 12 months?

[antman]

You gave a percentage for donor regeneration with Acell, but we are asking for this kind of average with regards to PRP + Acell as a stand alone treatment.

Can you give us an estimate of the success rate for PRP + Acell as a stand alone treatment? I don't mean to be a broken record here, but this is kind of important for those who are considering the treatment.

I have some results for PRP




Source:
Enhanced effect of platelet-rich plasma containing a new carrier on hair growth (Takikawa et al, 2011)
Full study

https://www.dropbox.com/s/hxbnj9mf15tc8tz/Enhanced%20Effect%20of%20Platelet-Rich%20Plasma%20Containing%20a%20New%20Carrier%20on%20Hair%20G.pdf

[0ptimist]

Thanks for the information Chuck. Good to know your office is having success with the procedure.

[35YrsAfter]

Thanks for the additional info. Chuck. We know Viper got good results. Do you have any indication as to the results of the other 3-4 people who had stand alone PRP + Acell treatment?

We had five stand-alone ACell / PRP patients within the last year. I was able to reach two today by phone, other than our patient I posted. One of the men I spoke with said he noticed an improvement behind his hairline in the frontal area. He is a patient with reasonably thick hair on top and does the treatments for maintenance. Our other patient I spoke with on the phone noticed some benefit but nothing dramatic. I asked our two patients what medications they were taking. Both use Rogaine but neither use Propecia or Avodart.

We are seeing early growth and excellent healing when ACell and PRP are used on the day of FUE surgery. See 3 1/2 month post-op photo below. Our patient had 2840 FUE grafts placed on 03-20-13.

35YrsAfter also posts as CITNews and works at Dr. Cole's office
Cole Hair Transplant
1045 Powers Place
Alpharetta, Georgia 30009
Phone 678-566-1011
Please feel free to call or email me with any questions.

[0ptimist]

Thanks for the additional info. Chuck. We know Viper got good results. Do you have any indication as to the results of the other 3-4 people who had stand alone PRP + Acell treatment?

[35YrsAfter]

Conpecia:

I will speak with Dr. Cole today and get more information. Dr. Cole didn't ask me to create a video in order to sell PRP / ACell treatments. I was excited about our patient's results as he is and decided to shoot and post the video on my own, to illustrate a point of study worthy of further investigation. In other words, over a 6 year period, this man's hair loss should have been worse, not improved. Can we duplicate this result? That's why I included in the video, mention of the medications our patient is taking.

Sorry to be repetitious, but the question in my mind relates to Rogaine and Avodart enhancing the effects of ACell / PRP treatments.

I just asked our RN how many patients we have seen in the last year having stand-alone ACell / PRP treatments. She told me 4, perhaps 5. As I mentioned earlier, Dr. Cole began using ACell and PRP because both products provide improved healing. In other words, nearly all of our patients who have received ACell / PRP treatments have had the treatments on their FUE surgery day.

ACell and PRP show great promise in my opinion. Further studies will definitely be worth the effort.

35YrsAfter works at Dr. Cole's office

[Conpecia]

I am in the Atlanta area and am 28 years old. I'm not too far along in my mpb (NW2.7 with thinning crown) and would love to benefit from this treatment even if that means simply keeping my hair as is. I take Rogaine foam and am experimenting with pgd2 blockers, but the only DHT blocker I can handle is keto. I'd gladly document my results in a similar fashion as the guy in the video. If nothing else it would give us another case study...

[35YrsAfter]

You gave a percentage for donor regeneration with Acell, but we are asking for this kind of average with regards to PRP + Acell as a stand alone treatment.

Can you give us an estimate of the success rate for PRP + Acell as a stand alone treatment? I don't mean to be a broken record here, but this is kind of important for those who are considering the treatment.

Tomorrow I will provide as much information on stand alone PRP / ACell success rates as we have available. Most of our patients who have PRP / Acell treatments receive it with their FUE surgery.

No broken record impressions here. People should be skeptical and ask questions.

35YrsAfter works at Dr. Cole's office

[35YrsAfter]

The other day at work I was depressed because of a remark someone made about my hair looking thin in the back. I'm still self conscious about the appearance of my hair. I'm a tough case. I went home that night and mentioned to my wife that I was feeling down about my hair and she said come to think of it, your hair really sucks, can I have a divorce?

Just kidding. She said, you look fine it's no big deal. It's great to have someone in your life who loves you the way you are. There ARE some great women out there and some women even find baldness sexy. I had a lady tell me that not long ago.

35YrsAfter works at Dr. Cole's office

[0ptimist]

You gave a percentage for donor regeneration with Acell, but we are asking for this kind of average with regards to PRP + Acell as a stand alone treatment.

Can you give us an estimate of the success rate for PRP + Acell as a stand alone treatment? I don't mean to be a broken record here, but this is kind of important for those who are considering the treatment.

[35YrsAfter]

There are no studies or efficient evidence that PRP has any positive impact on hair.
PRP has been available for many years in other applications. The application of hair is still relatively new with more and more doctors no longer even offering the procedure. That alone speaks volumes.

When PRP treatment doesn't work, it benefits everyone to determine why. I posted our patient interview so he could talk about medications he currently uses. In the video, he mentions Rogaine and Avodart. He also mentioned that he had the best result from the treatment he had in 2012 as opposed to his first treatment in 2011. Dr. Cole used a different PRP / ACell formulation in 2012.

I was 18 once and remember the depressing proposition of being bald by the time I was 30. It was a sinking sense of despair, like years were about to be trimmed off of my life. Most reputable hair restoration physicians won't perform a hair transplant on any man under 26-29. I'm thinking from my own perspective... If I were 21 again (in 2013), I would consider Rogaine and PRP /ACell treatment. I'm not sure about Avodart but there are many people who swear by it. I'm considering ACell / PRP treatment at my advanced age. I need help in my donor area with regards to density.

35YrsAfter works at Dr. Cole's office

[35YrsAfter]

Chuck,

You seem to be avoiding the question as to the efficacy of PRP + Acell in general. It's nice to have an example, but one case study is insufficient to make a judgment. For all we know, Viper may be only one out of a hundred patients who saw improvement. Or his result could be typical. We just don't know with the limited information you are providing.


The fact that you won't given any indication as to what percentage of Dr. Cole's patients achieve success with PRP + Acell is troubling. Any additional information would be appreciated.

Thanks.

Dr. Cole began using ACell because it's an FDA approved regenerative product that improves the appearance of FUE donor extraction sites. It reduces hypopigmentation and improves blood vessel formation. We are also seeing on average around 50% follicle regeneration in the donor areas where ACell is used. I believe Dr. Cole began using PRP to improve healing.

I got an email on Saturday from a patient who just had beard hair extractions. He said the extraction sites disappeared after 4 days, and healing was much quicker than his experience with previous surgeries where ACell and PRP were not used.

Dr. Cole recently received an invitation to participate in a PRP study. Even the doctor to doctor hair transplant publication we receive, recently commented on the lack of PRP studies. There really aren't any formal studies that I'm aware of. Should there be? Of course. I was excited about our patient's improvement. He is excited. It worked for him and we will do our best to determine how to make these treatments as effective as possible.

Of course it needs to be determined which PRP formulation is most effective. Dr. Cole uses the Angel system that allows for many variations in the concentration. Also, how effective is PRP without ACell? Any study needs to be standardized. Do Avodart and Rogaine enhance the effects? These are questions that need to be answered.